Vertebral mitsempha. vertebral mtsempha wamagazi matenda: zizindikiro, matenda, mankhwala

mtsempha wamagazi Vertebral kuchoka ziwiya subclavian lalikulu. njira izi chakudya mbali ya ubongo. Makamaka, magazi aziwapatsa lobes occipital, cerebellum, thunthu. Komanso yosanthula mwatsatanetsatane, zimene zimapanga mtsempha wamagazi vertebral. Nkhaniyi pofotokoza ntchito kwa matenda mtima, matenda ndi achire njira ntchito amawaitana.

mwachidule

The zigawo za mtsempha wamagazi ndi vertebral kudutsa mitsinje aumbike mwa njira yopingasa wa zinthu khomo lachiberekero fupa. Malo ake, ndi zotengera za mayina. Ozama mu M'mimbamo cranial mwa foramen magnum, vertebral mtsempha wamagazi mu tsinde ubongo kuphatikiza pa njira basilar. Kuchokera ku tsamba lino, iwo kuwonjezera m'mwamba. Mu hemispheres oziziritsa zimachitika nthambi. Pa dzanja limodzi chimafikira lamanja, ndi pa zina - kumanzere mtsempha wamagazi vertebral.

thunthu

Aliyense njira lagawidwa zina. Kudziwa zigawo zotsatirazi mtsempha wamagazi ndi vertebral:

• Intracranial. Chigawo chino chimafikira kwa cranial M'mimbamo danga mapangidwe ndi nthambi kuphatikiza basilar njira.
• Nape. gawo ili chochokera kubwereketsa njira njira (transversal) wa vertebrae (khomo lachiberekero) pamaso yolowera M'mimbamo cranial.
• Khosi. Chigawo chino chimafikira ndondomeko njira (yopingasa) ndi vertebrae khomo lachiberekero.
• Prespinal. Ili ndilo gawo pansi. gawo The chochokera kufika magwero a zipangizo vertebral ku subclavian pakhomo njira njira ya vertebrae a msana khomo lachiberekero.

mutu kotunga magazi

ubongo wakudya maiwe awiri: vertebrobasilar ndi carotid. Dama ndi carotid mitsempha (mkati). Iwo kupereka% 70 85 okwana buku magazi. The carotid mitsempha ndi udindo pafupifupi onse matenda aakulu kwambiri a makope ubongo. Izi kwenikweni chikutanthauza zikwapu. Pa nkhani imeneyi, pa kuona ndalama zawo mwapadera. zotupa awo atherosclerotic ndi zotsatira za zimenezi ndi chinthu cardiologists mkulu chidwi ndi madokotala mtima ndi Madokotala aubongo. Beseni vertebrobasilar zikuphatikizapo lamanja ndi lamanzere mtsempha wamagazi vertebral. Iwo amanena zokhudza 15-30% ya okwana buku magazi. kuwonongeka chotero monga sitiroko, akhoza kwambiri kuvulaza mtima kuti kukhale yosagwira ntchito.

matenda a magazi

mitsempha Vertebral ndi nthambi chakudya cerebellum. Pa akusowa a kapezedwe magazi pakutchulidwa mwina a chizungulire. Chizindikiro chimenechi cha mtsempha wamagazi ndi vertebral amatchedwa "vertebrobasilar insufficiency". Kudzera kuganizira ziwiya ikuchitika kotunga tsinde ubongo. Mu dongosolo ili, anaikira malo yofunika kupuma ndi kufalitsidwa. Pa nkhani imeneyi, sitiroko amapezeka m'dera ndi yovuta mokwanira ndi zambiri limadzetsa imfa. Bwaloli chachikulu ngozi khomo lachiberekero osteochondrosis. vertebral mtsempha wamagazi matenda akufotokozera chifukwa zinthu fupa mapindikidwe. Ziwiya kukhala tortuous, zikubweretsa kusokonezeka kwa kotunga magazi.

Zimayambitsa kuyan'anila

Precipitating zinthu mikhalidwe pathological kungakhale vertebral ndi nevertebrogennoy chikhalidwe. Zikatero tikulankhula za kuvulala amene alibe mogwirizana ndi msana. Iwo chifukwa anomalies kobadwa nako kwa kukula ndi zochita zotengera kapena atherosclerosis. Koma chifukwa otsiriza amawapeza infrequently. anomalies izi alibe phindu palokha. Koma chifukwa Kuwonjezera zinthu zina kufinya mitsempha anapanga chikhalidwe akumane kwambiri.

zotupa Vertebral chifukwa cha pathologies osiyana a msana (osteochondrosis - makamaka). matenda amenewa akhoza zimapezeka ngakhale ana kapena unyamata motsutsa likhale dysplastic kapena posttraumatic Kusakhazikika kwa msana khomo lachiberekero. Motero, tingathe olumala mitsempha vertebral.

Zizindikiro za akusowa a kapezedwe magazi

Kwambiri khalidwe mbali ya kudwala ankaona kuti zonse, zina kuwonjezeka paroxysmal chowawa throbbing kupweteka mutu wake. Childs, izo isanafalikire m'dera occipital. Pa nthawi, kuwawa akhoza kufalitsa m'madera ena. Nthawi zambiri iye amapereka ku zitsulo diso ndi mphuno, mu parietal-zosatha gawo pa mphumi kapena khutu. Soreness akhoza kukhala mwina paroxysmal kapena chikhalidwe okhazikika. Isanafalikire zomverera zambiri ndi dzanja limodzi.

chikondi cha khungu kumachitika kawirikawiri. kumverera Zikuoneka ngakhale ndi kukhudza pang'ono, kuongola. Pamene kutembenukira kapena tilting mutu angayambe khalidwe crunch, kuwotchedwa anati zina.

Nthawi zina, odwala matenda vertebral mtsempha wamagazi aonekera chizungulire limodzi ndi nseru kapena kusanza, kumva imfa, kulira / phokoso m'makutu, osiyanasiyana zithunzi impairments. Yotsirizira pazikhalanso zochitika monga maonekedwe a chophimba cha nkhungu pamaso, masomphenya awiri, amaona ndi ena. Nthawi zina odwala amadandaula kumverera cha kukhalapo kwa thupi zakunja kukhosi (pharyngeal migraine) ndi vuto kumeza. Mwa matenda autonomic kukumana ndi lalifupi kumverera njala, ludzu, kumverera malungo kapena kuzizira.

Kugonjetsedwa kwa plexus wachifundo

Pankhaniyi pali Syndrome, Bernard-Horner. State limodzi, monga ulamuliro, ululu mmodzi ndiye amaganiza ndi paresthesias. Zizindikiro zambiri analanda kulimbana ndi zovuta m'kamwa, mano ndi lilime. Mu mmero pali kumva kulasalasa, moto kutengeka, kumverera kukhalapo kwa thupi lina. Kuwonjezera zizindikiro zimenezi, pali matenda a mtundu vestibular mu mawonekedwe a chizungulire, akuzandima ndi kugwa kupyolera. matenda amenewa ali limodzi ndi kunyansidwa ndi mumafuna muziyamba kuchapa kapena phokoso m'khutu. Pa mutu pali malungo, utachepa ntchito, kuchuluka thukuta, kuchuluka kutopa, kuchepa zithunzi acuity, "kukulowa ntchentche pamaso ake" amapezeka. Pakuti kusintha udindo wa mutu kupweteka mwamphamvu kumadalira. Koma nthawi yomweyo wodwala kupeza malo amene kumverera uku ali kwambiri yafupika kapena inathetsedwa kwathunthu.

kobadwa nako anomaly

gulu amatanthauza pathologies hypoplasia. Anachoka mtsempha wamagazi vertebral zimakhudzira kamodzikamodzi. zizindikiro matenda omwe anaona yomweyo. Zizindikiro n'zogwirizanitsidwa ndi hemodynamic kunyengalera. Izi zikutanthauza kuti pamaso pa stagnation komanso kusowa kotunga magazi kukhala kukomoka kwambiri, izo zitenga kanthawi. Tiyenera kukumbukira kuti thupi akulipira kuti makinawa mpata nthawi opatsidwa kusunga zakudya zabwinobwino.

Zimayambitsa anomaly ndi

N'chifukwa chiyani kukhala hypoplasia? Anachoka mtsempha wamagazi vertebral akhoza kupangidwa bwino mu utero zifukwa zingapo. The akuluakulu monga:

• Kusupuka, akazi kugwa pa gestation.
• Ntchito akalandire chithandizo mowa, mankhwala ena, mankhwala komanso kusuta.
• Anasamutsa pa mimba, matenda opatsirana.
• mbiri banja.

Against maziko a hypoplasia anasonyeza kuchepetsa kwambiri a mtsempha wamagazi pa malo a kulowa ake mu njira cholowera M'mimbamo cranial.

diagnostics

Chizindikiritso cha kudwala zimaphatikizapo kugwiritsa ntchito njira angapo kafukufuku. Choyamba, katswiri mfundo zake zochokera chithunzi matenda. Pankhaniyi tikulankhula zambiri zopezera kuona ubongo, komanso madandaulo wodwalayo. Pamene matenda kawirikawiri wapezeka mavuto khosi, amavutika kutembenuzira mutu, mwachikondi pa kuthamanga kwa njira 1 ndi 2 vertebrae khomo lachiberekero. The kafukufuku amagwiritsidwanso ntchito X-ray. Kujambula imatengedwa chochitika kuvomerezedwa. njirayi amalola kuti adzawulule enieni chifukwa matenda a magazi, kudziwa psinjika gawo la chotengeracho. Imodzi mwa njira zikuluzikulu za Kupeza Vuto ndi Doppler ultrasound (akupanga Doppler). Pa diagnostics katswiri ayenera kusiyanitsa syndrome migraine.

miyeso achire

Ngati kusokonezedwa kufalitsidwa (mwapang'ono kapena olumala mtsempha wamagazi vertebral), mankhwala zambiri zovuta chikuyendetsedwera. miyeso achire zimadalira m'badwo wodwala, kukula kwa chikhalidwe, komanso makhalidwe munthu wodwala. Chifukwa chakuti odwala ngati ali pachiopsezo cha sitiroko, mitsuko achire kwenikweni umalimbana kuchotsa chisokonezo magazi ndi spasms mtima. Zovuta ntchito zingalowe chithandizo pharmacopuncture. Komanso, yoikidwiratu reflexology, kutenga chiwerengero cha mankhwala. Mwa mankhwala zasonyezedwa kuti ntchito - antidepressants kuwala ndi wothandizila odana ndi yotupa. Yovomereza mankhwala monga "aminophylline" "Cinnarizine," "Cavintonum". amatanthauza "Betahistine" akusonyeza kuti vertigo.

Mu nkhani ya matenda mu njira ya Kuphunzira chingwe msana kapena magazi oziziritsa Analimbikitsa yopemphera wodwala ku chipatala. Ngati palibe Akufunika kukhala katswiri kuchipatala angakulangizeni zosakhalitsa atavala kolala Schanz. corset amagwiritsidwa ntchito kuchepetsa katundu pa msana khomo lachiberekero. Against maziko a vertebral syndrome mtsempha wamagazi zambiri yoikidwiratu kuwongola mafupa a msana, physiotherapy ndi kutema mphini, analgesics electrophoresis, phonophoresis, diadynamic mafunde.